Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000,

Seasoned Collector, Biller and Professional Coder offering 17 years of expertise in billing, collections, follow up and payment posting while driving continuous improvement by streamlining billing and cash flow processes. Effective in developing best practices to manage aged receivables and optimize collections outreach. Team oriented with the ability to mentor and train staff. Seeking to be an asset to a growing organization while reaching personal career goals.

  • Proficient in Epic software
  • ICD-10, HCPCS & CPT Coding
  • Clinical Trials Management
  • Training and Development
  • Revenue Cycle Management & Analysis
  • Medical Coding & Terminology
  • Medical billing, collections and follow-up
  • Clinical documentation expert
  • Auditing proficiency
  • Account management
  • Billing dispute resolution
  • Debt management
  • Year-end reporting
  • Patient information management
11/2020 to Current Medical Billing & Coding Instructor Dorsey Schools | Madison Heights, MI,
  • Combined discipline plan with effective measures and lesson plans to increase concentration, participation and progress student accountability.
  • Created and implemented developmentally-appropriate curriculum which addressed individual learning styles.
  • Tested students with quizzes, essays and exams to gauge learning effectiveness.
  • Leveraged diverse instructional strategies and hands-on activities to engage students and boost understanding of material.
  • Identified and documented learning achievements by reporting outcomes, performance information and program adjustments used to boost comprehension.
  • Assessed student learning and growth through evaluations, essays and daily assignments.
  • Created assignments and tests to evaluate student knowledge.
  • Implemented student discipline measures, decreasing classroom 95%
  • Developed, administered and graded tests and quizzes promptly to provide quick feedback.
  • Tracked student progress in online system, immediately implementing action plans for failing grades.
  • Delivered informative lectures to engage students and teach concepts in Medical Billing and Coding
  • Motivated students to be more engaged in classes through applying positive reinforcement techniques.
  • Monitored student progress using exams and assignments to check for thorough understanding.
  • Liaised with teachers to develop cohesive educational plans and improve student support.
  • Modeled lesson planning strategies and classroom management techniques to student teachers.
05/2020 to 12/2020 Medical Billing, Collections & Coding Specialist Universal Hospital Services, Inc. | Clearwater, FL,
  • Assessed medical codes on patient records for accuracy.
  • Reviewed medical records to meet insurance company requirements.
  • Maintained knowledge of new or revised codes and industry regulations to complete accurate coding services, including local coverage determinations.
  • Recorded, stored and reported medical coding information to create statistics of healthcare encounters.
  • Interpreted medical terminology and pharmacological information to translate information into coding system.
  • Expertly assigned charges and payments for medical procedures.
  • Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
  • Reviewed all claims for accurateness and appropriateness.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
  • Reviewed accounts to determine payment plan compliance.
  • Notified customers of delinquent accounts with attempt to collect outstanding amounts.
03/2015 to 03/2020 Medical Collector and Coder City Of Hope Hospital | City, STATE,

• Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.

• Assigned value codes and modifiers to provide specific information for services provided.

• Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.

• Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes. Interpreted medical terminology and pharmacological information to translate information into coding system.

• Reviewed clinical documentation for submission and authorizations for Medi-cal, CCS and DHCS.

• Worked closely with clinical trials and research study related accounts for accurate clinical documentation for billing and collections.

• Increased team efficiency by assisting Senior Manager with the implementation of new healthcare software- EPIC during go-live. Nominated as a Super User as the forefront of the Revenue Cycle Department to teach and train staff on Epic healthcare system.

• Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.

• Researched and communicated insurance requirements, including patient financial responsibilities and eligibility.

• Billed and submitted insurance claims for Workers Comp, Managed Care, Medi-cal, Medicare and all Commercial payors including submission of provider disputes due to underpayment and or erroneous denials. As well as, prepared and submitted Medicare quarterly report for late charge adjustments.

• Enforced policies and procedures according to compliance with federal and state guidelines.

05/2012 to 02/2015 Revenue Cycle Specialist Centinela Hospital | City, STATE,
  • Monitored aged accounts and billing discrepancies and created detailed reports for senior management.
  • Detailed all key revenue cycle information into thorough presentations to deliver to executives and the management team.
  • Presented regular status updates on AR collections, including workflow recommendations to senior management.
  • Boosted job efficiency by working closely with other analysts so that tasks and processes could be streamlined and duplication of billing was avoided.
  • Audit AR and payment posting to determine true AR collections on a monthly basis.
  • Follow-up on appeals and provider disputes until account resolved.
  • Set up and monitored payment plans and processed payments for cash patients.
Education and Training
Expected in 06/2006 Bachelor of Science | Sociology Cal State Fullerton, Fullerton, CA, GPA:
Expected in 05/2012 Master of Arts | Clinical Psychology Antioch University, Culver City, CA, GPA:
  • Certified Professional Coder, AAPC 2016
  • Certified Six Sigma Lean Green Belt Healthcare Professional, 2020
  • Clinical Documentation Expert Course Completion, AAPC 2020 pending certification test date

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School Attended

  • Cal State Fullerton
  • Antioch University

Job Titles Held:

  • Medical Billing & Coding Instructor
  • Medical Billing, Collections & Coding Specialist
  • Medical Collector and Coder
  • Revenue Cycle Specialist


  • Bachelor of Science
  • Master of Arts

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